UPDATE The Real Obamacare Death Spiral

Tonight, I want to tell you about the real Obamacare death spiral, give you more reasons why hospitals are not our friends, and clear up some confusion about Medicaid payments to hospitals. I’ll finish with a brief announcement.

The news about Obamacare insurance just keeps getting worse – insurers are leaving the exchanges, and huge rate increases are coming again next year – 45 percent expected in New Hampshire alone.  Talk of an insurance death spiral is back.  But here’s the REAL Obamacare death spiral – tax credits go up with premiums. Every time premiums go up, Obamacare subsidies go up.  This is crazy. The national debt is already $19.2 trillion. Federal healthcare spending is now bigger than Social Security, a story said this week.  Every cent for Obamacare subsidies has to be borrowed. Who’s going to pay for all this – the health insurance fairy?  That’s what one commentator wanted to know this week.  Obamacare takes us further and further away from a debt-free future, and that’s another reason to fight it, as if we needed any more.  How can we keep doing this? Like the economists say, if something can’t continue, it won’t.  We have a choice – we can keep throwing more and more money at the death spiral of Big Government, Big Insurance, and Big Healthcare, or change course and move in the direction of simplicity, catastrophic insurance, and patient-centered reform. We’re headed in the wrong direction.  Stop this train wreck – I wanna get off!

I’ve focused on hospitals before on these webinars, because hospitals lobby furiously for Medicaid expansion – they just want more money, they don’t care where they get it, or whether it’s good public policy. And the way they are buying up each other and independent providers is leading to single-payer. There were a number of reminders in the news in the last couple of weeks about how hospitals are not our friends.  I call them ‘hospitrosses’.  In West Virginia, two hospitals settled antitrust claims that they conspired to stay out of each other’s territory and not compete with each other.  In Chicago, city residents will pay $45 million more for healthcare next year, and every year thereafter, if the two biggest hospitals are allowed to merge.  Hospital monopolies are forcing independent doctors out of Vermont. I’ve spoken before about mission creep in healthcare.  Hospitals are a prime example.  Some hospitals are now business incubators.  I don’t know about you, but I don’t want to pay for new company start-ups on my hospital bill.  And I don’t want to pay for community gardens either, which is also happening.  Other hospitals are double-booking surgeries and not telling patients that their surgeon will have to leave in the middle of an operation.  The practice has been criticized as unsafe. Ya think? And now, my favorite: A hospital in New York has been fined $2.2 million for allowing a TV reality show to film patients without prior consent.  Allowing reality shows to roam your halls – does it get any greedier than that?  We should go on offense and agitate for hospitals to be stripped of their tax exemptions.  If community gardens are their idea of community benefit justifying a tax exemption, there’s something wrong with tax exemptions.

Now I want to clear up some confusion about Medicaid payments to hospitals.  They’re called Disproportionate Share payments, or ‘dish’ for short.  These payments were supposed to be cut under Obamacare because, it was assumed – incorrectly as it turned out – that Medicaid expansion would be mandatory in all 50 states, and hospitals would no longer need DSH payments.  The reporting on this has been very confused.  Stories in the news are not careful to distinguish between Medicaid DSH payments and Medicare DSH payments.  More importantly, lots of stories make it sound like the Medicaid DSH cuts have already occurred but, in fact, they have been delayed.  I talked to some congressional staffers last week and they confirmed what I thought:  the Medicaid DSH cuts have in fact been delayed and no hospital has lost a single penny from a Medicaid DSH cut yet.  So, when you hear hospitals squealing about DSH cuts, demand proof.  They just might be postponed forever, like the notorious Medicare ‘doc fix’.  You can assume that reporters don’t know what they’re talking about on this subject, as is so often the case with stories that are important to folks on our side of the ledger.

If I may be permitted a brief aside, my Anticommunism Action Team is holding a twitter rally this coming Friday, April 29th at 1 p.m. Eastern to push back against communist May Day celebrations taking place around the world around May 1st.  We invite you to join us.  The hashtag is #MayDayMadness and I’ll send a link in for the wrap-up.  Jenny Beth is writing an op-ed in the Washington Times and you can see all the other pushback efforts at my website Spider & the Fly dot com.

Links

New Hampshire looking at 45% increase next year RIGHT BETWEEN THE EYES!
http://www.unionleader.com/Unaffordable-Care-Act-NH-customers-facing-increase

Federal spending on major health programs (Medicaid, Medicare, #ACA) now bigger than Social Security
http://dailysignal.com/2016/04/01/4-facts-that-prove-obamacare-isnt-aging-well/?utm_source=TDS_Email&utm_medium=email&utm_campaign=CapitolBell&mkt_tok=eyJpIjoiWWpsbU5URmhNMlptTnpJMSIsInQiOiI3SmFKUnptaE8xSkRQUGxxUkRLM0RpMXArUjlHUWxKTjk1ZUtESkNMZFMrZTc0OG1TdnJIam5talZFYVpXSll2dTk2VklMdU9OS2dLNmQwQVZWQzdHWXMwcG5SUVZCMGVpOXUreElNKzJnVT0ifQ%3D%3D

#ACA #crony Tavenner says #Obamacare market not stabilizing, rates will go up more next year than last
https://morningconsult.com/2016/04/marilyn-tavenner-predicts-exchange-premium-increases-2017/

#ACA ‘stability’ can only be purchased at price of repeated rate hikes, narrower networks and higher out-of-pocket.
http://healthpolicyandmarket.blogspot.com/2016/04/united-healthcare-leaving-obamacare.html?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+HealthCarePolicyAndMarketplaceBlog+%28Health+Care+Policy+and+Marketplace+Blog%29

UnitedHealth is 1 of 2 insurers in 536 counties; pull-out will cause rates to go up
https://morningconsult.com/2016/04/study-finds-local-impact-unitedhealth-aca-withdrawal/

“Who is going to pay these ever higher full costs for the consumers who get subsidies? The health insurance fairy?”
http://healthpolicyandmarket.blogspot.com/2016/04/united-healthcare-leaving-obamacare.html?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+HealthCarePolicyAndMarketplaceBlog+%28Health+Care+Policy+and+Marketplace+Blog%29

“only one solution to the nasty mess of government-run health care and entitlements: get the government out of it.”
http://www.deseretnews.com/article/865652379/Get-the-government-out-of-it.html?pg=all

Healthcare costs were rising 2.6% faster than inflation, but now it’s 3.3%. Masterminds? Master con artists is more like it.

The money for Medicaid expansion is all borrowed. What do we think we’re doing?

#Obamacare – Because the Best Way to Handle Overpriced Medical Bills is to Overpay Them, with Borrowed Money!

Two West Virginia hospitals settle antitrust claims they divided territory, didn’t compete. #Hospitrosses
http://www.modernhealthcare.com/article/20160414/NEWS/160419945/justice-department-alleges-two-west-virginia-hospitals-illegally

FTC: Chicagoans to pay $45M/yr more if 2 biggest hospitals merge. #RevokeHospitalTaxExemptions
http://www.chicagobusiness.com/article/20160414/NEWS07/160419908/ftc-expert-warns-of-higher-costs-from-northshore-advocate-merger

Public medicine, hospital monopolies squeezing independent private practice docs out of Vermont
http://watchdog.org/261960/vermont-health-care-professionals-dissatisfied/

Hospitals becoming business incubators. Do u want to pay on your hospital bill for giving money to start-ups?
http://www.modernhealthcare.com/article/20160409/MAGAZINE/304099982

I don’t know about you, but I object to paying for community gardens on my hospital bill. #MissionCreep
http://healthaffairs.org/blog/2016/04/05/hospitals-engagement-in-population-health-moving-past-the-medicine-and-into-the-community/

Hospitals flout rules, routinely double-book unsafe concurrent surgeries. #RapaciousHospitals
http://www.bostonglobe.com/metro/2016/04/13/surgery/Jn7Lb0Hq3VUGeZGBgjiw0M/story.html

Greedy NY hospital to pay $2.2M fine over TV reality show filming patients without prior consent
http://www.nytimes.com/2016/04/22/nyregion/new-york-hospital-to-pay-fine-over-unauthorized-filming-of-2-patients.html?ref=health&_r=0

Per congressional staff – Medicaid DSH cuts haven’t happened yet. Not one hospital has lost a single penny. Another delay is possible.

 O/T

Push back on communism! Join the Anticommunism Action Team’s twitter rally @WeSowDiscontent Friday April 29th 1 p.m. ET. #MayDayMadness

MayDay Pushback from the Anticommunism Action Team
http://www.spider-and-the-fly.com/may-day-2016.html

Liberal Fascists Out in Force During Supreme Court Immigration Case (On-The-Scene Tweets from The Discontenterati)
http://www.liberato.us/the-discontenterati.html

 

 

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The Real Obamacare Death Spiral

Stop this train wreck – I wanna get off!

The news about #Obamacare insurance just keeps getting worse – insurers leaving, huge rate increases and narrower networks coming.  But here’s the real #Obamacare death spiral – tax credits go up with premiums. This is crazy. The national debt is already $19.2 trillion. Every cent put to Obamacare subsidies is borrowed. How can we keep doing this? We can keep throwing more and more money at the bottomless pit of Big Government, Big Insurance, and Big Healthcare, or change course and move in the direction of simplicity, catastrophic insurance, and patient-centered reform. #WrongDirection

Federal spending on major health programs (Medicaid, Medicare, #ACA) now bigger than Social Security
http://dailysignal.com/2016/04/01/4-facts-that-prove-obamacare-isnt-aging-well/?utm_source=TDS_Email&utm_medium=email&utm_campaign=CapitolBell&mkt_tok=eyJpIjoiWWpsbU5URmhNMlptTnpJMSIsInQiOiI3SmFKUnptaE8xSkRQUGxxUkRLM0RpMXArUjlHUWxKTjk1ZUtESkNMZFMrZTc0OG1TdnJIam5talZFYVpXSll2dTk2VklMdU9OS2dLNmQwQVZWQzdHWXMwcG5SUVZCMGVpOXUreElNKzJnVT0ifQ%3D%3D

#ACA #crony Tavenner says #Obamacare market not stabilizing, rates will go up more next year than last
https://morningconsult.com/2016/04/marilyn-tavenner-predicts-exchange-premium-increases-2017/

#ACA ‘stability’ can only be purchased at price of repeated rate hikes, narrower networks and higher out-of-pocket.
http://healthpolicyandmarket.blogspot.com/2016/04/united-healthcare-leaving-obamacare.html?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+HealthCarePolicyAndMarketplaceBlog+%28Health+Care+Policy+and+Marketplace+Blog%29

Virginia a microcosm: sicker pool, rate hikes, insurer profits squeezed, insurers leaving
http://www.investors.com/politics/policy/why-anthem-obamacare-premiums-will-soar-in-va-as-humana-bolts/

UnitedHealth is 1 of 2 insurers in 536 counties; pull-out will cause rates to go up
https://morningconsult.com/2016/04/study-finds-local-impact-unitedhealth-aca-withdrawal/

Quality of #ACA coverage will continue to fall after UnitedHealth exit; race to the bottom
http://www.forbes.com/sites/michaelcannon/2016/04/19/five-things-aca-supporters-dont-want-you-to-know-about-unitedhealths-withdrawal-from-obamacare/#7861fb3a5e41

“Who is going to pay these ever higher full costs for the consumers who get subsidies? The health insurance fairy?”
http://healthpolicyandmarket.blogspot.com/2016/04/united-healthcare-leaving-obamacare.html?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+HealthCarePolicyAndMarketplaceBlog+%28Health+Care+Policy+and+Marketplace+Blog%29

“only one solution to the nasty mess of government-run health care and entitlements: get the government out of it.”
http://www.deseretnews.com/article/865652379/Get-the-government-out-of-it.html?pg=all

Healthcare costs were rising 2.6% faster than inflation, but now it’s 3.3%. Masterminds? Master con artists is more like it.

The money for Medicaid expansion is all borrowed. What do we think we’re doing?

#Obamacare – Because the Best Way to Handle Overpriced Medical Bills is to Overpay Them, with Borrowed Money!

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Expert: It’s Official – Obamacare’s Insurance Model Does Not Work

“It’s official. The Obamacare insurance company business model does not work.”

“Why is this happening?
Because nowhere near enough healthy people are signing up to pay for the sick.”

[T]he poorest are buying Obamacare and the vast majority of the rest–even if they are subsidy eligible–are not.”

UnitedHealth Group Losing Big Money and Threatening to Leave the Obamacare Exchanges–Because the Obamacare Insurance Business Model Does Not Work
Robert Laszewski, November 19, 2015

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Nation’s Largest Insurer QUITS Obamacare Exchanges!!!!

Comment:  We told y’all. Despite premiums hitting 53% higher than before Obamacare, America has still not seen the real cost of Obamacare.  Why?  Because as proved by insurers’ losses, policies are still being sold far below cost, exactly as OCTS has repeatedly warned.

What’s the bottom line?  This can only mean one of three things: huge premium increases in the near future, more insurers heading for the exits, less competition, or all of the above.

“UnitedHealth, the nation’s biggest health insurer, will cut its participation in public health insurance exchanges to only a handful of states next year after expanding to nearly three dozen for this year.”

“CEO Stephen Hemsley said Tuesday that the company expects losses from its exchange business to total more than $1 billion for this year and last. He added that the company cannot continue to broadly serve the market created by the Affordable Care Act’s coverage expansion due partly to the higher risk that comes with its customers.”

“UnitedHealth Group Inc. said it now expects to lose $650 million this year on its exchange business, up from its previous projection for $525 million. The insurer lost $475 million in 2015, a spokesman said.”

UnitedHealth to trim ACA exchanges to ‘handful’ of states
By TOM MURPHY, AP Business Writer
Apr 19, 2016

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The Unbelievably High Cost of Single-Payer

Comment: Not just in lives lost and care denied, but in plain old cash…

“Gov. Peter Shumlin, a Democrat and longtime single-payer advocate, ultimately decided not to seeking [sic] funding from the Legislature to implement the new law, known as Green Mountain Care, effectively axing it.”

“A report commissioned by Shumlin’s office found that the plan would cost $4.3 billion in the first year, with taxpayers picking up $2.6 billion and the federal government covering the rest.”

“The report estimated his state would need to approve new personal income taxes up to 9.5 percent, in addition to existing rates ranging from 3.5 to 8.9 percent. Businesses would have to pay a 11.5 percent payroll tax — on top of 7.65 percent payroll taxes employers pay for Social Security and Medicare, the report found.”

Single-payer backers say plan would rein in health costs
By Christian M. Wade Statehouse Reporter

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UPDATE Truth Squad Activism Projects

Obamacare Update
from the Obamacare Truth Squad
April 17, 2016

Tonight, I’ll bring you up to date on the Truth Squad’s activism projects, fill you in on some top Obamacare news, and finish up with a new way doctors are going to be paid under Medicare that is cause for concern.

When I saw that there are only 19 states remaining that have not expanded Medicaid, I got worried. Pressure is increasing on those states, and there doesn’t seem to be any coordinated effort to push back. So I looked for activists and found 5 who are fighting expansion in their own states. I started an informal group to share information and ideas at the state level, and to get legislation at the federal level to make it less attractive for states to expand. After talking to Congressional staffers this week, I see the best way to proceed on the federal level would be a law that reduces the federal match rate for expansion. Right now, it starts at 100 percent and goes down to 90 percent, while the match for the original, more needy Medicaid population is much lower, around 50 or 60 percent, depending on the state. My group will also throw a spotlight on the ways the administration is twisting arms and trying to get the remaining states to expand. The name of the group is MENTOR, which stands for ‘Medicaid Expansion Needless Total Overreach’ – referring to the facts that every bit of the money for expansion is borrowed, expansion pushes welfare into the middle class, and our opponents indulge in over the top rhetoric – ‘people are dying in the streets,’ don’t you know.

MENTOR has taken a lot of my time in the last few weeks, so there is no progress to report on the Truth Squad’s nullification project to bring back true catastrophic insurance. But I’ll be working on that again soon.

In Obamacare news this week, UnitedHealth will leave the Michigan exchange next year, it was announced yesterday. This followed several warnings this week from insurers that they might leave Obamacare exchanges next year if they don’t get big rate hikes. The administration’s comment in all this is bogus as usual – that big rate hikes aren’t so bad after subsidies. They really think we don’t remember the President promising everyone their premiums would go DOWN, $2,500 a year, not up. In other news, the GAO came out with its annual duplication and waste report this week. It found that billions could be saved on Medicaid by fixing faulty procedures. Here’s one example: CMS has no procedures for investigating contractors when they start turning in bigger bills without explanation. | The congressional exemption for Obamacare was back in the news this week, with an article talking about how crimes might have been committed when Congress told the D.C. Obamacare small business exchange that it is a small business. Making intentional false statements about congressional compensation is a 5-year felony, the article says. The article goes on to note that the D.C. exchange has stopped asking applicants how big their business is which, the authors say, is proof D.C. authorities know Congress wasn’t telling the truth on its application.

Turning now to the new payment system for doctors, it’s a 5-year plan for primary care physicians for their Medicare patients. The plan is called Comprehensive Primary Care Plus. The administration hopes to tie 50 percent of Medicare payments to so-called ‘alternative payment models’ by 2018. The basic idea, supposedly, is to pay doctors for quality, value, and patient outcomes, not procedures. My first concern is the incentive doctors will have to cut corners when getting global payments like this, instead of fees for actual services. With fee for service, there’s an incentive to do too many procedures. But with global payments, the incentive is to cut corners. So all this does is substitute one perverse incentive for another. Second, the payments are subsidies that will be removed if the doctor doesn’t adopt certain technology, and use data the way the government wants. It’s foreseeable the incentives will turn into actual penalties at some point. Third, I think it’s a real problem that the government will control the data, the information upon which doctors will base their medical decisions. Doctors will be implementing Washington’s policy choices and not even know it. The subsidies, the metrics, and the information control look to me like a plan by Washington to capture Medicare doctors and, eventually, all of medicine when the new payment system is rolled out to other government programs and beyond. It’s all meant to push things in the direction of single-payer and top-down control of all of healthcare, if you ask me.

Links

“UnitedHealth to exit Michigan Obamacare exchange”
http://www.detroitnews.com/story/business/2016/04/16/unitedhealth-exit-michigan-obamacare-exchange/83137432/

More flashing red lights from insurers about #Obamacare losses; setting the stage to jack up rates
http://thehill.com/policy/healthcare/276366-insurers-warn-losses-from-obamacare-are-unsustainable

Yo, HHS! You’re not getting away with this. 8% price hike is not what we were promised. #WheresMy2500
http://thehill.com/policy/healthcare/275983-new-hhs-report-pushes-back-on-talk-of-obamacare-price-spikes

First they said your premiums would go down $2,500. Now they say hikes not so bad after subsidy. #BaitAndSwitch
http://www.investors.com/politics/policy/virginia-insurers-seek-18-obamacare-premium-hike/

“Virginia Insurers Seek 18% ObamaCare Premium Hike”. O-admin: ‘only’ 4% after subsidy. #WheresMy2500
http://www.investors.com/politics/policy/virginia-insurers-seek-18-obamacare-premium-hike/

GAO finds that billions could be saved on Medicaid by remedying faulty procedures
http://gao.gov/assets/680/676473.pdf

GAO faults CMS for lack of procedures to investigate unexplained increases in contractor billing
http://gao.gov/assets/680/676473.pdf

New documents show criminal falsehoods in congressional Obamacare exemption application
http://thehill.com/blogs/congress-blog/healthcare/276286-on-obamacare-is-there-one-set-of-rules-for-congress-and
Follow-up:
http://www.forbes.com/sites/michaelcannon/2016/04/15/congress-is-getting-a-special-exemption-from-obamacare-and-no-its-not-legal/#73e9b7974eb0

Washington’s Plan to Capture Doctors – subsidize, push data and technology, remove incentives if don’t jump to tune
http://www.healthcareitnews.com/news/cms-reveals-comprehensive-primary-care-plus-risk-based-payment-model

New incentive payments for docs just cheese for mousetrap, real penalties for ‘doing it wrong’ foreseeable
http://www.healthcareitnews.com/news/cms-reveals-comprehensive-primary-care-plus-risk-based-payment-model

Washington to control information upon which doctors will base their medical decisions – this is NOT good.
http://www.healthcareitnews.com/news/cms-reveals-comprehensive-primary-care-plus-risk-based-payment-model

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Massachusetts Mastermind: “We Have the Highest Premiums in the Country”

Comment:  Proud of their budget-busting, not satisfied with Romneycare’s Rocketing Rates, is it Mission Accomplished in the Gruber-land of Massachusetts yet?  No, wait, there’s more!  Undaunted by their Obamacare exchange cluster bomb, not chastened by Obamacare’s Boston Medicaid Expansion Massacre, Gruber’s colleagues never sleep in their quest for less-affordable health care…

(Notice this Gruberite’s vexation at health care approaching half of Massachusetts’ budget, but she seems a great deal less concerned about her state’s citizens, who have to pay higher premiums and higher taxes, both.  It’s classic Gruber.)

“L’Italien, a member of the Legislature’s Joint Committee on Healthcare Financing, said switching to some form of a single-payer system will curb the state’s skyrocketing health care spending and free up money for other areas of the state budget.”

“”We have the highest premiums in the country, health care costs are approaching half of our state budget outlay, and that’s crowding out funding that could be going toward education, local aid and other areas,” said L’Italien, who as a House lawmaker helped pass the state’s landmark health care law in 2006.”

Ahhh, ain’t socialized health care grand?

Single-payer backers say plan would rein in health costs
By Christian M. Wade Statehouse Reporter

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Hospitals and the Sin of Pride

Hospitals have gotten too big for their britches. They are not the poor suffering angels of mercy they pretend to be. Antitrust violations, gobbling up independent providers, and mission creep number among the ways hospitals, aided by Obamacare, are pushing American medicine in the wrong direction. Data points from just one week in April:

FTC: Chicagoans to pay $45M/yr more if 2 biggest hospitals merge. #RevokeHospitalTaxExemptions
http://www.chicagobusiness.com/article/20160414/NEWS07/160419908/ftc-expert-warns-of-higher-costs-from-northshore-advocate-merger

Two West Virginia hospitals settle antitrust claims they divided territory, didn’t compete. #Hospitrosses
http://www.modernhealthcare.com/article/20160414/NEWS/160419945/justice-department-alleges-two-west-virginia-hospitals-illegally

Hospitals flout rules, routinely double-book unsafe concurrent surgeries. #RapaciousHospitals
http://www.bostonglobe.com/metro/2016/04/13/surgery/Jn7Lb0Hq3VUGeZGBgjiw0M/story.html

Public medicine, hospital monopolies squeezing independent private practice docs out of Vermont
http://watchdog.org/261960/vermont-health-care-professionals-dissatisfied/

Hospitals becoming business incubators. Do u want to pay on your hospital bill for giving money to start-ups?
http://www.modernhealthcare.com/article/20160409/MAGAZINE/304099982

I don’t know about you, but I object to paying for community gardens on my hospital bill. #MissionCreep
http://healthaffairs.org/blog/2016/04/05/hospitals-engagement-in-population-health-moving-past-the-medicine-and-into-the-community/

Pres. Obama took the credit when #Obamacare passed. So he can take the blame for everything that’s going wrong with it.

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Obamacare’s “Keep Your Plan” Death-Panel Targets HSAs

“Final regulations published on March 8 will make it impossible to offer HSA-qualified plans in the future”

TYRANNY ALERT: Health Savings Accounts are one of the best ways to achieve affordable health care that you yourself can control.  So, Obamacare means to take them away dishonestly, with regulations, while you sleep.

“Almost six years to the day after the Affordable Care Act was enacted, the Department of Health and Human Services (HHS) has taken steps to kill health savings accounts (HSAs) in the state health-insurance exchanges. It was bound to happen at some point, although some may be surprised that it took this long. In case you missed it, final regulations published on March 8 will make it impossible to offer HSA-qualified plans in the future. Whether this is by accident or design, the outcome is clear.”

Why Is Obamacare Regulating Health Savings Accounts Out of Existence?

by Roy J. Ramthun April 5, 2016
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HSAs, Not Obamacare, Holding Down Health Care Costs

COMMENT: Even ObamaGrubers admit that Health Savings Accounts are holding down costs. Imagine that–a free people, getting to save money and control their own health care–freedom works! Too bad the Obama administration wants to shut HSAs down.

HSA plans have become increasingly popular as companies and individuals realize their benefits. Instead of paying high premiums for low deductibles, HSAs offer high-deductible, low-premium plans that let people put money aside tax-free for out-of-pocket expenses. Any money left over is theirs to keep.”

“Democrats have long hated HSAs, mainly because they entrust consumers to make decisions about their own health care and finances, but Republicans managed to get them authorized starting in 2005. In the past seven years, enrollment has climbed 18% a year on average. Today, there are almost 20 million enrollees who have more than $24 billion in their HSA accounts. Even the number crunchers in the Health and Human Services Department admit that these “consumer-directed” health plans are helping to hold down costs.

Popular HSA Plans Face An ObamaCare Death Sentence
Investor’s Business Daily editorial, 4/05/2016

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